| NPI | 1477569473 |
|---|---|
| Former Name | MARILYN RUTH SEIBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CO CNS-3854) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MT RN29972) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MT RN29972) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-01-03 |